Individual
JAQUELINE SOFIA CEBALLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1130 HURRICANE SHOALS RD NE STE 2300, LAWRENCEVILLE, GA 30043-4871
(470) 323-6711
(478) 575-2359
Mailing address
625 CLEARWATER PL, LAWRENCEVILLE, GA 30044-6834
(404) 944-2477
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLPA000601
GA
Other
Enumeration date
12/16/2025
Last updated
12/16/2025
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